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Expression and release of CD27 in human B-cell malignancies
MH van Oers, ST Pals, LM Evers, CE van der Schoot, G Koopman, JM Bonfrer, RQ Hintzen, AE von dem Borne and RA van Lier
Department of Hematology, Academic Medical Center, Amsterdam, The
Netherlands.
CD27, a transmembrane disulfide-linked 55-kD homodimer, belongs to the
nerve growth factor-receptor family, a group of homologous molecules
involved in lymphocyte differentiation and selection. It is expressed on
mature thymocytes, peripheral blood T cells, and a subpopulation of B
cells. We investigated the expression of CD27 on malignant B cells
representative for a broad range of stages in physiologic antigen-
independent and -dependent B-cell development. In normal lymphoid tissue
CD27+ B cells were only found in the peripheral blood (29.8% +/- 10.8%, n =
13) and in germinal centers. With the exception of pro-B and the majority
of pre-pre-B acute lymphocytic leukemias and of myelomas, CD27 expression
of variable intensity was detected on almost all immature and mature
malignant B cells tested. Moreover, using a sandwich enzyme-linked
immunosorbent assay we could show the presence of sometimes very high (up
to 6,000 U/mL; normal values < 190 U/mL) amounts of the soluble 28- to
32-kD form of CD27 (sCD27) in the sera of patients with B-cell
malignancies. The highest levels of sCD27 were observed in patients with
chronic lymphocytic leukemia and low-grade non-Hodgkin's lymphomas. Most
importantly, both in transversal and longitudinal studies, we found a
strong correlation between sCD27 levels in the serum and tumor load,
indicating that sCD27 can be used as a disease-marker in patients with
acute and chronic B-cell malignancies.
Volume 82,
Issue 11,
pp. 3430-3436,
12/01/1993
Copyright © 1993 by The American Society of Hematology

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